POCUS Echocardiogram Volume Assessment
Echo provides increased accuracy and insight into volume state assessment. This grid illustrates 2 extremes of volume state:
- A hypervolaemic patient with LV systolic failure
- A hypovolaemic patient with a hyperdynamic heart
Optimal volume assessment integrates:
1. PMHx - particularly any recent echo while euvolemic
2. Hx - weight change/dehydration/intake/output
3. Rx - PEEP/diuretics/fluids/inotropes
4. Physical Exam
5. POCUS - minimum of IVC, LV, RV, B-lines, plus valves ideally
- Dr. Jono Henry https://twitter.com/DrJonoHenry
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